Individual
CATHLEEN ANN CASILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(508) 864-2136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2340698
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2340698
MA
Other
Enumeration date
07/07/2020
Last updated
08/01/2022
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